Individual
TRINA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 DORA LN, GREENUP, KY 41144-1187
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1113701
KY
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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